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Waste No. 951205 <br /> Systems TM <br /> BROWNING- RISINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> FER <br /> —GENERATOR <br /> Santa Fe Railway Compury Jersey Island <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> Sari Bernardino, CA 92408 <br /> Phone No. EEI Phone No. LJ�1J <br /> BFI Waste Code M p T Containers Type <br /> Description of Waste Quandt Units No. T e D-Drum <br /> C-Carton <br /> 0 0 0 2 tl 1 B -Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> S ^C ` / /� C / S%r ❑ m ❑ P-Pounds <br /> otherYards <br /> - <br /> ❑ ❑ ❑ <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> �UTF STU�r ��%;i --- 81 v <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANISPORTER, <br /> 510-634-6850 <br /> Truck No. �� � Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) <br /> Address P. 0. Box 218 Vehicle License No./State 1�2e4 <br /> Bvron, California 945.4 <br /> Vehicle Certification `� <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to the destination listed below. <br /> jr2li 12- 10 1 c? <br /> Driver Signature Shipment Date Driver Signature'/ Delivery Date <br /> DESTINATION <br /> Site Name B.F. I. fiasco Ruad ?.anthill Phone No. ' 1 — 17 0 1-1-T-1 <br /> ..',tUl Xurth ':Isco Kd. , Liv=:morr , Ca. 9_3]iO <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing s true and accurate. <br /> Name of Authorized Agent Signature Receipt Dat <br /> / PASS CODE <br /> a <br /> 10186 BFI260-120 <br />